In this work, we present recommendations to countries with limited health resources for management decisions in radiotherapy units during the pandemic for COVID-19. This effort aims to reduce the impact of the COVID-19 pandemic on the delivery of radiotherapy treatments. In countries like Ecuador, the access to radiotherapy for cancer patients is limited and this pandemic has aggravated this situation. In this context, we develop recommendations for the management of radiotherapy services with the objective of guaranteeing that high-quality treatments continue to be delivered despite the health crisis caused by the COVID-19.